CMS Price Transparency Data

X-ray, chest (single view)

Facility: Mc Donough District Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $43
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 0.48x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Mc Donough District Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.48x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $29 (33%)
Insurance Median: $43 (48%)
Cash: $29 (33% of Medicare)
Ins. Median: $43 (48% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Health Alliance $5 - $409 6%
Aetna $8 - $460 9%
Hfn $8 - $414 9%
Humana $8 - $414 9%
Medicaid / KanCare $8 - $460 9%
Medicare (plans) $8 - $98 9%
Meridian $8 - $98 9%
Molina $8 - $460 9%
Mutual Medical $8 - $460 9%
UnitedHealthcare $8 - $414 9%
Veteran Affairs $8 - $98 9%
Springfield Health $39 - $377 44%
Consociate $40 - $391 45%
Trilogy $40 - $391 45%
Blue Choice $42 - $414 47%
Current Health $42 - $414 47%
Healthlink $42 - $432 47%
Preferred Plan $45 - $437 51%
Blue Cross Blue Shield $47 - $460 53%
Tricare $92 103%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals